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  • Oh U-3s (bwc-7613) 2022

Get Oh U-3s (bwc-7613) 2022-2025

Application for or Request to Cancel Elective Coverage Have questions? Need assistance? BWC is here to help! Call 18006446292, and listen to the options to reach a customer service representative.

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How to fill out the OH U-3S (BWC-7613) online

This guide provides clear, step-by-step instructions on how to complete the OH U-3S (BWC-7613) form online. Whether you are a sole proprietor, a partner, or a minister, this document will help you navigate the process smoothly.

Follow the steps to complete the OH U-3S (BWC-7613) form successfully.

  1. Press the ‘Get Form’ button to access and open the form in your online document editor.
  2. Fill in the legal business name and policy number at the top of the form. Ensure that these details are accurate as they identify your business in the BWC records.
  3. Provide the trade name or 'doing business as' name, along with the mailing address, federal employer identification number or social security number, city, state, ZIP code, and telephone number.
  4. In Section A, list the owners or ministers who are electing coverage. For each individual, include their name, residential address, city, social security number, state, title, date of birth, and duties.
  5. If applicable, Section B allows you to request cancellation of elective coverage. Enter the name of the individual whose coverage is to be canceled and the effective date of cancellation.
  6. Sign and date the certification section. This confirms that the application is accurate and that you have the authority to execute it. Incomplete forms will not be processed.
  7. Once all sections are completed, you can save your changes. After saving, the form can be downloaded, printed, or shared as needed.

Complete your OH U-3S (BWC-7613) application online today for seamless processing.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232